Novel Mutations in a Patient Isolate of Streptococcus agalactiae with Reduced Penicillin Susceptibility Emerging after Long-Term Oral Suppressive Therapy

被引:74
作者
Longtin, Jean [1 ,2 ]
Vermeiren, Christie [3 ,4 ]
Shahinas, Dea [2 ,4 ]
Tamber, Gurdip Singh [2 ,4 ]
McGeer, Allison [4 ,5 ]
Low, Donald E. [2 ,4 ,5 ]
Katz, Kevin [3 ,4 ,6 ]
Pillai, Dylan R. [2 ,4 ]
机构
[1] Ctr Hosp Univ Quebec, Quebec City, PQ G1V 4G2, Canada
[2] Ontario Agcy Hlth Protect & Promot, Toronto, ON, Canada
[3] Shared Hosp Lab, Toronto, ON, Canada
[4] Univ Toronto, Toronto, ON, Canada
[5] Mt Sinai Hosp, Toronto, ON M5G 1X5, Canada
[6] N York Gen Hosp, Toronto, ON, Canada
关键词
GROUP-B STREPTOCOCCI; MOLECULAR CHARACTERIZATION; DECREASED SUSCEPTIBILITY; RESISTANCE;
D O I
10.1128/AAC.01243-10
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Penicillin nonsusceptibility has been demonstrated in group B streptococci (GBS), but there is limited information regarding mechanisms of resistance. We report a case of GBS with reduced susceptibility to penicillin emerging after long-term suppressive oral penicillin therapy for a prosthetic joint infection. Molecular characterization of the isolate before and after long-term penicillin therapy revealed 5 mutations in the ligand-binding regions of PBP1a, -2a, and -2x not previously reported in GBS.
引用
收藏
页码:2983 / 2985
页数:3
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